5. Describe how the nurse would evaluate signs associated with physical trauma:

• Battle’s sign
• Cullen sign
• Grey-Turner sign
• Kehr Sign
• Raccoon eye sign
•   posting requires one reference from an English titled, peer-reviewed nursing journal less than five years old. The article for the initial posting must be different than the article for the response to peer posting. The initial posting also requires a reference from the course textbook. 

  

Assignment: Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

· Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.

· Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).

· Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1-2 pages)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

· Briefly and generally explain the policy or regulation you selected.

· Address the impact of the policy or regulation you selected on system implementation.

· Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

· Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific

RUBRIC

· List View

   

Excellent

Good

Fair

Poor

 

Create a 1-page fact sheet that your healthcare organization   could hypothetically use to explain the health or nursing informatics   policy/regulation you selected. Your fact sheet should address the following:
 

·   Briefly and generally explain the policy or   regulation you selected.
 

·   Address the impact of the policy or regulation   you selected on system implementation.
 

·   Address the impact of the policy or regulation   you selected on clinical care, patient/provider interactions, and workflow.
 

·   Highlight organizational policies and procedures   that are/will be in place at your healthcare organization to address the   policy or regulation you selected. Be specific.

77 (77%) – 85 (85%)

A fully developed   and detailed Fact Sheet is provided for the Assignment.
 

  The responses accurately and thoroughly explain in detail the policy and   regulation selected.
 

  The responses accurately and thoroughly explain in detail the impact of the   policy or regulation selected on system implementation.
 

  The responses accurately and thoroughly explain in detail the impact of the   policy or regulation selected on clinical care, patient/provider   interactions, and workflow.
 

  Specific and accurate responses thoroughly highlight in detail the   organizational policies and procedures that are/will be in place at a   healthcare organization to address the policy or regulation selected.
 

  Includes: 3 or more peer-reviewed sources and 2 or more course resources.

68 (68%) – 76 (76%)

A developed Fact   Sheet is provided for the Assignment.
 

  The responses explain the policy or regulation selected.
 

  The responses explain the impact of the policy or regulation selected on   system implementation.
 

  The responses explain the impact of the policy or regulation selected on   clinical care, patient/provider interactions, and workflow.
 

  Accurate responses highlight the organizational policies and procedures that   are/will be in place at a healthcare organization to address the policy or   regulation selected.
 

  Includes: 2 peer-reviewed sources and 2 course resources.

60 (60%) – 67 (67%)

A vague or   inaccurate Fact Sheet is provided for the Assignment.
 

  The responses explaining the policy or regulation selected are vague or   inaccurate.
 

  The responses explaining the impact of the policy or regulation selected on   system implementation are vague or inaccurate.
 

  The responses explaining the impact of the policy or regulation selected on   clinical care, patient/provider interactions, and workflow are vague or   inaccurate.
 

  The responses highlighting the organizational policies and procedures that   are/will be in place at a healthcare organization to address the policy or   regulation selected are vague or inaccurate.
 

  Includes: 1 peer-reviewed source and 1 course resource.

0 (0%) – 59 (59%)

A vague and   inaccurate Fact Sheet is provided for the Assignment, or is missing.
 

  The responses explaining the policy or regulation selected are vague and   inaccurate, or are missing.
 

  The responses explaining the impact of the policy or regulation selected on   system implementation are vague and inaccurate, or are missing.
 

  The responses explaining the impact of the policy or regulation selected on   clinical care, patient/provider interactions, and workflow are vague and   inaccurate, or are missing.
 

  The responses highlighting the organizational policies and procedures that   are/will be in place at a healthcare organization to address the policy or   regulation selected are vague and inaccurate, or are missing.
 

  Includes: 1 or fewer resources.

 

Written Expression and Formatting – Paragraph Development and   Organization:
 

Paragraphs make clear points that support well developed   ideas, flow logically, and demonstrate continuity of ideas. Sentences are   carefully focused–neither long and rambling nor short and lacking substance.

5 (5%) – 5 (5%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity.

4 (4%) – 4 (4%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity 80% of   the time.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity 60%- 79%   of the time.

0 (0%) – 3 (3%)

Paragraphs and   sentences follow writing standards for flow, continuity, and clarity < 60%   of the time.

 

Written Expression and Formatting – English writing standards:
 

Correct grammar, mechanics, and proper punctuation

5 (5%) – 5 (5%)

Uses correct   grammar, spelling, and punctuation with no errors.

4 (4%) – 4 (4%)

Contains a few (1-2)   grammar, spelling, and punctuation errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several   (3-4) grammar, spelling, and punctuation errors.

0 (0%) – 3 (3%)

Contains many (≥ 5)   grammar, spelling, and punctuation errors that interfere with the reader’s   understanding.

 

Written Expression and Formatting – The paper follows correct   APA format for title page, headings, font, spacing, margins,   indentations, page numbers, running head, parenthetical/in-text citations,   and reference list.

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 8, “Legislative Aspects of Nursing      Informatics: HITECH and HIPAA” (pp. 145–166)

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program 

Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

U.S. Department of Health and Human Services. (n.d.). Laws & regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

  

Evidence for Nursing 

Assessment Item 3: Using evidence to inform clinical decision-making  

Weight: 50% of total mark

Word limit: 1500

Intent

In this assessment, you demonstrate that you can provide an evidence-based conclusion to an uncertain clinical situation. It requires you to search for relevant research, understand levels of evidence, consider the quality of evidence, present the summary of each article, interpret their findings, and reach a conclusion based on your reviewed evidence. 

Task: You have been provided with three clinical scenarios. Each scenario indicates an area of clinical uncertainty. Select a scenario that interests you and using your evidenced based practice skills answer the question that follows. 

Scenario 1:

In the course of your clinical placement in a surgical ward, you noted inconsistency in wound care. While some nurses use a sterile technique, others employ a clean dressing change technique. 

Is clean wound dressing a safe option for dressing of surgical wounds?

Scenario 2:

You are working on a hospital ward where you encounter stroke patients. You notice that some doctors order compression stockings for prevention of deep venous thrombosis while others not.

Should antithrombotic stockings be routinely used for patients with stroke or not? 

Scenario 3:

You are working as an RN in an emergency department. A 10-year-old child has been admitted to the department with a diagnosis of exacerbation of asthma secondary to bronchitis. The patient has been prescribed salbutamol. 

What is the more effective method of delivery- a nebuliser or a spacer?

Format

Written paper with well-structured paragraphs. Headings can be used if they help structure your work.

Introduction (500 words)

Briefly describe the process you used to answer the question. i.e. how you formulated a searchable question and developed a search strategy. Justify the approach you took in accessing the evidence. Describe the rationale behind the selection of each paper (hint: level of the evidence, quality of the evidence, relevance). Both quantitative and/or qualitative articles can be used, as appropriate to the clinical scenario and question you have developed. It is not necessary to present all the evidence you found (and you have limited word count to do this). The key thing is quality not quantity – so four or five research-based articles are better than a large number of low-level papers. Provide the print screens of the abstracts of the papers you have chosen.  

Main body of the paper (800 words)

Briefly present each paper and their main findings. What does the research show? 

Conclusion (200 words)

This is where you clearly state what you think the answer to your question is and why. 

 The marking rubric  

     

  

In Part A, you described the population and quality initiative related to your PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) statement. In this assignment, you will formalize your PICOT and research process.

Use the GCU Library to perform a search for peer-reviewed research articles. Find five peer-reviewed primary source translational research articles.

In a paper of 1,250-1,500 words, synthesize the research into a literature review. The literature review should provide an overview for the reader that illustrates the research related to your particular PICOT. Include the following: 

1. Methods: Describe the criteria you used in choosing your articles

2. Synthesize the Literature: Part A: Discuss the main components of each article (subjects, methods, key findings) and provide rationale for how this supports your PICOT; Part B: Compare and contrast the articles: Discuss limitations, controversies, and similarities/differences of the studies.

3. Areas of Further Study: Analyze the evidence presented in your articles to identify what is known, unknown, and requires further study.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Benchmark – Part B: Population Health Research and PICOT Statement – Rubric

 Introduction

A comprehensive introduction is thoroughly developed with supporting details.

Methods

A comprehensive discussion of methods, including criteria used to select the articles, is thoroughly developed with supporting details.

Literature Synthesis, Part A

A comprehensive discussion of the main components of each article, including subjects, methods, key findings, and rationale for how the article supports the PICOT statement, is thoroughly developed with supporting details.

Literature Synthesis, Part B

A comprehensive discussion of the limitations, controversies, similarities, and differences of the studies is thoroughly developed with supporting details.

Areas of Further Study

A comprehensive analysis of evidence in the articles to identify what is known, unknown, and needed for further study is thoroughly developed with supporting details.